歌诗达赛琳娜号邮轮新型冠状病毒肺炎疫情现场处置的回顾分析

Retrospective analysis of the on-site treatment of the coronavirus disease 2019 epidemic on the Costa Crociere cruise

2019新型冠状病毒肺炎(简称新冠肺炎)是近百年来人类遭遇的影响范围最广的全球性大流行病,该病极强的人际传播能力使得人类生命安全和健康面临重大威胁。面对新冠肺炎疫情,2020年1月24日零时,天津市启动《天津市应对新型冠状病毒感染的肺炎应急预案》一级响应。同日18时,天津东疆保税港区管委会接到报告,从日本驶回天津东疆邮轮母港的载有4806人的歌诗达赛琳娜号邮轮上出现15名发热人员,同时有140多名中国湖北籍旅客。天津市委市政府、天津海关、滨海新区区委区政府、天津市卫生健康委员会(卫健委)、滨海新区卫健委等立即组成指挥中心,对疫情进行全面处置。2020年1月25日6时40分,由滨海新区卫健委和天津东疆海关组成排查小组登船,按照国家卫健委《新型冠状病毒感染的肺炎诊疗方案(试行第三版)》和海关总署《新型冠状病毒感染的肺炎口岸防控技术方案(第一版)》,结合邮轮的实际情况制定了排查标准,采取登门逐一排查的方式,对邮轮上所有人员进行体温测量和流行病学调查。本次现场处置共排查4806人,其中游客3706人,船员1100人。共排查出符合"邮轮新冠肺炎高风险人员"标准17人,其中包含3名湖北籍游客。对17名"邮轮新冠肺炎高风险人员"进行新型冠状病毒核酸咽拭子采样,样本经直升机转运。当日14时54分,17份标本检验结果均回报阴性。当日19时30分,排查小组完成排查工作撤离邮轮。后续乘客出关的测温、部分人员医学观察和安置等工作移交给相关人员。2周后17人随访结果均阴性。陆上指挥中心的统筹指挥、综合协调和现场疫情排查小组坚持原则、临场应变,共同保证了疫情排查工作的顺利完成,也为进一步提高海上突发公共卫生应急管理处置能力提供借鉴。

Coronavirus disease 2019(COVID-19)epidemic is the most widespread global pandemic in the past 100 years.Person-to-person transmission of COVID-19 infection leads to the major threat of human safety and health.At 00:00 on January 24th,2020,Tianjin City launched the first-level response to the COVID-19 epidemic.At 18:00 on the same day,Management Committee of Dongjiang Free Trade Port Zone of Tianjin received areport that there were 15 people who had fever on the Costa Crociere carrying 4806 people from Japan back to the home port of Tianjin Dongjiang Cruise.At the same time,there are more than 140 Chinese Hubei tourists.Tianjin Municipal Committee and Government,Tianjin Customs,Binhai New Area District Committee Government,Tianjin Health Commission,Tianjin Binhai New Area Health Commission formed an emergency command center immediately to deal with the epidemic comprehensively.At 06:40 on January 25th,2020,the medical investigation team made up by Tianjin Binhai New Area Health Commission and Tianjin East Administration of Customs boarded the cruise ship.With reference to the customs inspection and quarantine regulations,in accordance with the Diagnosis and treatment of pneumonia caused by novel coronavirus(trial version 3)for mulated by the National Health Commission of the People's Republic of China and the Novel coronavirus infected pneumonia port control and technology plan(first version)formulated by the General Administration of Customs,combined with the actual situation of cruise ships,the medical investigation team developed the inspection standards,including door-to-door inspections,temperature measurement and epidemiological investigations on all persons on board of the cruise ship.A total of 4806 person-times were investigated in the affected area,including 3706 tourists and 1100 crew members.Seventeen people at high risk of COVID-19 were identified,including three Wuhan tourists.The reports of 2019 novel coronavirus(2019-nCoV)nucleic acid detection on throat swab samples for those who were identified as high risk were returned as all negative at 14:54 on the same day.At 19:30,the medical investigation team completed the investigation and evacuated the cruise ship.The temperature measurement,medical observation and resettlement of passenger were handed over to relevant personnel.After 2 weeks,the follow-up result of 2019-nCoV nucleic acid of 17 high risk people were all negative.The overall command and comprehensive coordination of the onshore command center together with the rigid principles and excellent responds ability of the on-site epidemic investigation team ensured the successful completion of the epidemic investigation work,and also provided reference for further improving the management and disposal capacity of public health emergencies at sea.